ATI RN LEADERSHIP PROCTORED: FOCUS REVIEW
Chapter 1, Managing client care: Prioritizing client care
oSystemic before local
oAcute before chronic
oActual problems before potential ones
oListen carefully to clients and do not assume oRecognize and response to trends vs transit findings
oRecognize indications of medical emergencies and complications vs expected findings
oApply clinical knowledge to procedural standards to determine the priority action
Client care assignments
oAssigning is performed in a downward or lateral manner with regard to members of the healthcare team
oClient factors are: Condition of client and level of care needed
Specific care needs such as cardiac monitoring or ventilation mechanical
Special precaution needs such as isolation or fall precautions or seizures, procedures requiring time commitments oHealth care team factors: Knowledge and skill levels of the team members
Supervision that is necessary
Nurse to client ratio
Experience with similar clients
Familiarity of staff member with unit
oAdditional factors;
If receiving an unsafe assignment the nurse should bring the
unsafe assignment to the attention of the scheduling charge nurse and negotiate new assignment, if the issue is not resolve, take the concern up the chain of command
Nurse should file a written protest to the assignment such as an assignment despite objection (ADO) or document of
Chapter 1, Managing client care: Prioritizing client care
oSystemic before local
oAcute before chronic
oActual problems before potential ones
oListen carefully to clients and do not assume oRecognize and response to trends vs transit findings
oRecognize indications of medical emergencies and complications vs expected findings
oApply clinical knowledge to procedural standards to determine the priority action
Client care assignments
oAssigning is performed in a downward or lateral manner with regard to members of the healthcare team
oClient factors are: Condition of client and level of care needed
Specific care needs such as cardiac monitoring or ventilation mechanical
Special precaution needs such as isolation or fall precautions or seizures, procedures requiring time commitments oHealth care team factors: Knowledge and skill levels of the team members
Supervision that is necessary
Nurse to client ratio
Experience with similar clients
Familiarity of staff member with unit
oAdditional factors;
If receiving an unsafe assignment the nurse should bring the
unsafe assignment to the attention of the scheduling charge nurse and negotiate new assignment, if the issue is not resolve, take the concern up the chain of command
Nurse should file a written protest to the assignment such as an assignment despite objection (ADO) or document of
